| NPI | 1801522461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY L SKELTON Counselor 402-609-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-10-04 |